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Review
. 2020 Jan;20(1):40-54.
doi: 10.1038/s41577-019-0198-4. Epub 2019 Aug 6.

The intestinal microbiota fuelling metabolic inflammation

Affiliations
Review

The intestinal microbiota fuelling metabolic inflammation

Herbert Tilg et al. Nat Rev Immunol. 2020 Jan.

Abstract

Low-grade inflammation is the hallmark of metabolic disorders such as obesity, type 2 diabetes and nonalcoholic fatty liver disease. Emerging evidence indicates that these disorders are characterized by alterations in the intestinal microbiota composition and its metabolites, which translocate from the gut across a disrupted intestinal barrier to affect various metabolic organs, such as the liver and adipose tissue, thereby contributing to metabolic inflammation. Here, we discuss some of the recently identified mechanisms that showcase the role of the intestinal microbiota and barrier dysfunction in metabolic inflammation. We propose a concept by which the gut microbiota fuels metabolic inflammation and dysregulation.

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